PATIENT PATTERN: Frailty-Based Clinical Decision Support

Success Story: Rosewell Park Cancer Institute

Roswell Park Cancer Institute (RPCI), in Buffalo, New York, has the distinction of being the only upstate New York facility to hold the National Cancer Institute designation of "Comprehensive Cancer Center" and 1 of 47 such centers in the United States. Working with their surgeons, Patient Pattern conducted a Quality Initiative to compare the predictive value of our comprehensive geriatric assessment (CGA) and Patient Pattern Frailty Score (PPFS) to the National Surgical Quality Improvement Program (NSQIP) when incorporated into the preoperative assessment of patients 65 years of age and older facing high-risk cancer surgery.

"Patient Pattern did...."

TBD Jensen, Ph.D
VP, 
Roswell Park Cancer Institute

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Challenge

NSQIP underestimates risk in frail patient

Unidentified frailty-risk hampers prehabilitation efforts

A frailty metric frames a risk/benefit discussion

 

Solution

Pre-operative assessment to determine PPFS

Frailty score used to design prehabilitation

CGA Management information for proactive discharge plans

 

Results

PPFS enhanced the predictive power of NSQIP

PPFS among top predictors for 30-day readmission

PPFS insights improved interdisciplinary communication

 

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